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孕中期和孕晚期胎盘厚度与胎儿体重之间的相关性。

Correlation between placental thickness in the second and third trimester and fetal weight.

作者信息

Afrakhteh Maryam, Moeini Aida, Taheri Morteza Sanei, Haghighatkhah Hamid Reza

出版信息

Rev Bras Ginecol Obstet. 2013 Jul;35(7):317-22. doi: 10.1590/s0100-72032013000700006.

Abstract

PURPOSE

To investigate relationship between placental thickness during the second and third trimesters and placental and birth weights.

METHODS

From January 2011 to June 2012, a total of 250 singleton pregnant women presented at our antenatal clinic were enrolled in this prospective study. All recruited women were assessed at the 1st trimester screening for baseline demographic and obstetric data. The placental thickness was measured trans-abdominally by placing the ultrasound transducer perpendicularly to the plane of the placenta, in the area of the cord insertion at second and third trimester. Pearson's correlation analysis was used to establish the degree of relationship between placental thickness and birth and placental weights.

RESULTS

Of 250 recruited participants, 205 women were able to complete the study. The mean age of cases was 26.4 ± 5.1. Values of mean birth and placental weights were 305.56 ± 657.0 and 551.7 ± 104.8 grams respectively. Ultrasonographic measures of placental thickness in second and third trimester and changes between them were 21.68 ± 4.52, 36.26 ± 6.46 and 14.67 ± 5.67 mm respectively. There was a significant positive correlation between placental thickness and birth weight in the second and third trimesters (r=0.15, p=0.03; r=0.14, p=0.04 correspondingly).

CONCLUSION

According to our study, birth weight has a positive relation with both second and third trimester placental thickness; however, placental thickness change could not predict low birth weight.

摘要

目的

探讨孕中期和孕晚期胎盘厚度与胎盘重量及出生体重之间的关系。

方法

2011年1月至2012年6月,共有250名单胎孕妇到我院产前门诊就诊,纳入本前瞻性研究。所有入选孕妇在孕早期筛查时评估基线人口统计学和产科数据。在孕中期和孕晚期,将超声探头垂直于胎盘平面放置在脐带插入部位,经腹测量胎盘厚度。采用Pearson相关分析确定胎盘厚度与出生体重及胎盘重量之间的相关程度。

结果

250名入选参与者中,205名女性能够完成研究。病例的平均年龄为26.4±5.1岁。平均出生体重和胎盘重量分别为305.56±657.0克和551.7±104.8克。孕中期和孕晚期胎盘厚度的超声测量值及其变化分别为21.68±4.52毫米、36.26±6.46毫米和14.67±5.67毫米。孕中期和孕晚期胎盘厚度与出生体重之间存在显著正相关(相应地,r=0.15,p=0.03;r=0.14,p=0.04)。

结论

根据我们的研究,出生体重与孕中期和孕晚期胎盘厚度均呈正相关;然而,胎盘厚度变化无法预测低出生体重。

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